WSR 25-16-076
PERMANENT RULES
DEPARTMENT OF HEALTH
[Filed August 1, 2025, 3:28 p.m., effective December 1, 2025]
Effective Date of Rule: December 1, 2025.
Purpose: The department of health (department), in collaboration with the chiropractic quality assurance commission, is adopting amendments to WAC 246-808-990 to update chiropractic and X-ray technician licensure, registration, renewal, and other fees including clarifying language.
The adopted rule amends fees which generate revenue for the chiropractic profession. To set fees appropriately, the department considered the financial forecast of the profession and set fee amounts to align revenue with the cost of licensure and regulation of the profession. Additionally, RCW
43.70.250 requires that the cost of licensing each profession be fully borne by members of the profession. Rule making is required to update fees for professions that do not have the appropriate fund balance to cover the cost of licensing the profession or are operating in excess of the needed amounts. The adopted rule is needed to maintain the appropriate fund balance amounts. Additional amendments were made for clarity and consistency.
Citation of Rules Affected by this Order: Amending WAC 246-808-990.
Adopted under notice filed as WSR 25-12-015 on May 22, 2025.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 1, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: August 1, 2025.
Kristin Peterson, JD
Chief of Policy
for Dennis E. Worsham
Secretary of Health
RDS-6259.2
AMENDATORY SECTION(Amending WSR 19-13-034, filed 6/12/19, effective 10/1/19)
WAC 246-808-990Chiropractic fees and renewal cycle.
(1) Licenses and registrations must be renewed on the practitioner's birthday every year as provided in chapter 246-12 WAC((, Part 2)).
(2) The following nonrefundable fees will be charged for chiropractic licensure:
Title of Fee | Fee |
Original application | |
| Application | $625.00 |
| Jurisprudence examination and reexamination | 100.00 |
| UW online access fee (HEAL-WA) | 16.00 |
Temporary practice permit | |
| ((90-day))Temporary practice permit | 105.00 |
Preceptorship - Initial and renewal | 155.00 |
| Chiropractic preceptor change fee | 30.00 |
Active license renewal | |
| Renewal | ((550.00)) 800.00 |
| Late renewal penalty | ((225.00)) 300.00 |
| Expired license reissuance | ((302.00)) 300.00 |
| UW online access fee (HEAL-WA) | 16.00 |
Inactive license renewal | |
| Renewal | ((257.00)) 375.00 |
| Late renewal penalty | 190.00 |
| Expired license reissuance | ((157.00)) 190.00 |
| UW online access fee (HEAL-WA) | 16.00 |
Duplicate license | 30.00 |
Verification of license | 30.00 |
(3) The following nonrefundable fees will be charged for chiropractic X-ray technician registration:
Title of Fee | Fee |
Application | ((135.00)) 182.00 |
((Original registration | 47.00)) |
Renewal | ((90.00)) 140.00 |
Late renewal penalty | ((50.00)) 70.00 |
Expired registration reissuance | ((62.00)) 70.00 |
Duplicate registration | 30.00 |
Verification of registration | 30.00 |